Kyle Health Center | |
1000 Health Center Rd Kyle SD 57752-0540 | |
(605) 455-2451 | |
Not Available |
Full Name | Kyle Health Center |
---|---|
Speciality | Clinic/Center |
Location | 1000 Health Center Rd, Kyle, South Dakota |
Authorized Official Name and Position | Rhonda M Akers (HEALTH SYSTEM SPECIALIST) |
Authorized Official Contact | 6058673032 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kyle Health Center P.o. Box 540 1000 Health Center Rd Kyle SD 57752-0540 Ph: (605) 455-2451 | Kyle Health Center 1000 Health Center Rd Kyle SD 57752-0540 Ph: (605) 455-2451 |
NPI Number | 1003963497 |
---|---|
Provider Enumeration Date | 01/05/2007 |
Last Update Date | 07/29/2020 |
Medicare PECOS PAC ID | 7214825371 |
---|---|
Medicare Enrollment ID | O20040309001203 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003963497 | NPI | - | NPPES |
5549060 | Medicaid | SD | |
430098 | Other | MEDICARE CCN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Gwen E Mccormick |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1578516068 PECOS PAC ID: 1153225032 Enrollment ID: I20040224001310 |
Provider Name | Kimberly S Montileaux |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1508831389 PECOS PAC ID: 9133190770 Enrollment ID: I20040805000552 |
Provider Name | Paula Ardith Zuccaro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366405086 PECOS PAC ID: 6305818345 Enrollment ID: I20040810000681 |
Provider Name | John S Dennis |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1871584060 PECOS PAC ID: 3173594389 Enrollment ID: I20050728000739 |
Provider Name | Ronn E Mcdaniel |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1134271323 PECOS PAC ID: 2961462106 Enrollment ID: I20070815000724 |
Provider Name | Andrew S Qualm |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1881669661 PECOS PAC ID: 6709962418 Enrollment ID: I20080320000509 |
Provider Name | Devin J Davis |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1013042068 PECOS PAC ID: 9739174657 Enrollment ID: I20081003000544 |
Provider Name | Rafael Christian |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1831171834 PECOS PAC ID: 9133271901 Enrollment ID: I20090709000390 |
Provider Name | Damon L Brooks |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1558583963 PECOS PAC ID: 4587715354 Enrollment ID: I20090917000269 |
Provider Name | Carey C Buhler |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1265590749 PECOS PAC ID: 5991787137 Enrollment ID: I20091109000467 |
Provider Name | Kelly D Smith |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1780751099 PECOS PAC ID: 7113937467 Enrollment ID: I20091110000366 |
Provider Name | Tamara Wheeler |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1114085693 PECOS PAC ID: 8628116571 Enrollment ID: I20091112000587 |
Provider Name | Darlene M Wilcox |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1730412867 PECOS PAC ID: 5496880890 Enrollment ID: I20100323000789 |
Provider Name | Michelle M Ponder |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1447399415 PECOS PAC ID: 4880787217 Enrollment ID: I20100428000166 |
Provider Name | Janice J Taylor |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1023063740 PECOS PAC ID: 2264328665 Enrollment ID: I20100713000592 |
Provider Name | Theresa Friend |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1871560813 PECOS PAC ID: 4284820135 Enrollment ID: I20101118000394 |
Provider Name | Mary E Kelly |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1902813652 PECOS PAC ID: 5496813693 Enrollment ID: I20101213000808 |
Provider Name | Christine A Walker |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1710959564 PECOS PAC ID: 7416967732 Enrollment ID: I20110421000761 |
Provider Name | Stephen A Back |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1639302060 PECOS PAC ID: 3476723594 Enrollment ID: I20110829000547 |
Provider Name | Michelle L Pino |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1992864896 PECOS PAC ID: 1254491848 Enrollment ID: I20130424000230 |
Provider Name | Cheryl D Scaff |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1801231345 PECOS PAC ID: 4981848470 Enrollment ID: I20130924000418 |
Provider Name | Donalyn M Deblanc |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285671610 PECOS PAC ID: 8325942410 Enrollment ID: I20140313000118 |
Provider Name | Adam M Borah |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1831173350 PECOS PAC ID: 3779716287 Enrollment ID: I20140508000933 |
Provider Name | James E Rohan |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1144290347 PECOS PAC ID: 5991779852 Enrollment ID: I20140630001429 |
Provider Name | Gabriele Knierim |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1366420499 PECOS PAC ID: 7012957004 Enrollment ID: I20141112000939 |
Provider Name | Sarah J Norris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215216643 PECOS PAC ID: 7719109040 Enrollment ID: I20141120001844 |
Provider Name | Joselyn Agosto-betancourt |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1740519073 PECOS PAC ID: 2567784614 Enrollment ID: I20141201001570 |
Provider Name | Debra J Morgan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568416550 PECOS PAC ID: 5698741023 Enrollment ID: I20150108000933 |
Provider Name | William R Wagner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043219587 PECOS PAC ID: 5597788612 Enrollment ID: I20150227000192 |
Provider Name | Elizabeth K Twomey |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1912075508 PECOS PAC ID: 0143546945 Enrollment ID: I20150312001975 |
Provider Name | Kyle G Flowers |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1063710580 PECOS PAC ID: 2769703107 Enrollment ID: I20150610001387 |
Provider Name | Donald Von Borstel |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1275887663 PECOS PAC ID: 3779894860 Enrollment ID: I20150617001059 |
Provider Name | Carla D Krueger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326214982 PECOS PAC ID: 4587977129 Enrollment ID: I20150724011948 |
Provider Name | Natalie A Wipert |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1265775290 PECOS PAC ID: 1951537091 Enrollment ID: I20151216002672 |
Provider Name | Garrett Cox |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1831327915 PECOS PAC ID: 0749407096 Enrollment ID: I20160217001008 |
Provider Name | Casey T Swenson |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1619016458 PECOS PAC ID: 9931176229 Enrollment ID: I20160217001230 |
Provider Name | Laurie J Brucia |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1063661973 PECOS PAC ID: 2668540964 Enrollment ID: I20160407000810 |
Provider Name | Sara J Jumping Eagle |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1508865007 PECOS PAC ID: 7113950049 Enrollment ID: I20160531001602 |
Provider Name | George Polanco |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1326019332 PECOS PAC ID: 0244210755 Enrollment ID: I20160713002114 |
Provider Name | Shannon K Wolfinbarger |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1235591413 PECOS PAC ID: 0648565887 Enrollment ID: I20160826000286 |
Provider Name | Christy L Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518980762 PECOS PAC ID: 6507863198 Enrollment ID: I20160831000453 |
Provider Name | Arelis Benitez |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1275635500 PECOS PAC ID: 0648424333 Enrollment ID: I20161215000039 |
Provider Name | Kristopher J Kelly |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1053354258 PECOS PAC ID: 0244529618 Enrollment ID: I20170329000811 |
Provider Name | Suzanne M England |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1750358354 PECOS PAC ID: 6103974027 Enrollment ID: I20170506000002 |
Provider Name | Blake Edward Weaver |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1497785893 PECOS PAC ID: 6103890975 Enrollment ID: I20170629001468 |
Provider Name | Barbara Peckham-devine |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1265412159 PECOS PAC ID: 3173657418 Enrollment ID: I20170803003169 |
Provider Name | Susan Hendren |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1629593165 PECOS PAC ID: 2466712864 Enrollment ID: I20180202001634 |
Provider Name | Laura Elizabeth Romcevich |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912249665 PECOS PAC ID: 9931336229 Enrollment ID: I20180306000560 |
Provider Name | Joyce C Chukwu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356879852 PECOS PAC ID: 9133481989 Enrollment ID: I20180315000673 |
Provider Name | Jamie P Slettedahl |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164943098 PECOS PAC ID: 9032290002 Enrollment ID: I20180430001014 |
Provider Name | Peter A Pantera |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1184750358 PECOS PAC ID: 4789587668 Enrollment ID: I20180725000887 |
Provider Name | Alfred C Degner |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1891755294 PECOS PAC ID: 4082675996 Enrollment ID: I20180822000860 |
Provider Name | Edwin Jusino |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1013363993 PECOS PAC ID: 9739426651 Enrollment ID: I20190130000677 |
Provider Name | Julie Dean-pelikan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043420003 PECOS PAC ID: 5597006023 Enrollment ID: I20190411000072 |
Provider Name | Karana M Pierre |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1831194042 PECOS PAC ID: 5496715781 Enrollment ID: I20190528001641 |
Provider Name | Marie L Duan Meservy |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1699018424 PECOS PAC ID: 0749588374 Enrollment ID: I20190830002587 |
Provider Name | Gerald R Gosnell |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1144262536 PECOS PAC ID: 4385744317 Enrollment ID: I20190909003485 |
Provider Name | Eugenio Erquiaga |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1528005048 PECOS PAC ID: 6002947033 Enrollment ID: I20190923000256 |
Provider Name | Dalton E Latham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194291179 PECOS PAC ID: 5991037061 Enrollment ID: I20191023002325 |
Provider Name | Julie A Freeman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225683915 PECOS PAC ID: 4385976224 Enrollment ID: I20191028000294 |
Provider Name | Chaundel L Presley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275683252 PECOS PAC ID: 4183748106 Enrollment ID: I20200514000474 |
Provider Name | Jennifer L Black |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710347943 PECOS PAC ID: 5799083051 Enrollment ID: I20200526000024 |
Provider Name | Mary L Allen |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1639371958 PECOS PAC ID: 2466635842 Enrollment ID: I20200603001709 |
Provider Name | Nabil A Yassa |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1467438911 PECOS PAC ID: 8729020839 Enrollment ID: I20200609000648 |
Provider Name | Ryan Baxter |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1962853564 PECOS PAC ID: 1850686338 Enrollment ID: I20200804001935 |
Provider Name | Neil A Goodloe |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1376589317 PECOS PAC ID: 6305840794 Enrollment ID: I20200818000023 |
Provider Name | Ryan E Mcdowell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083978720 PECOS PAC ID: 2668786021 Enrollment ID: I20200916002255 |
Provider Name | Socrates P Maroudis |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1073792651 PECOS PAC ID: 5698828168 Enrollment ID: I20201006000103 |
Provider Name | Renea Reano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558960153 PECOS PAC ID: 5991113631 Enrollment ID: I20210420000289 |
Provider Name | Matthew Bledsoe |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1295116721 PECOS PAC ID: 6608188024 Enrollment ID: I20210702000599 |
Provider Name | Rafel Alvarez |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1215383005 PECOS PAC ID: 7618247586 Enrollment ID: I20210706000944 |
Provider Name | Tyler Braaten |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1134507957 PECOS PAC ID: 3577964352 Enrollment ID: I20210708000016 |
Provider Name | Susan J Walden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376041426 PECOS PAC ID: 2062764830 Enrollment ID: I20210802001632 |
Provider Name | Joseph Liberal Giramata |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831666197 PECOS PAC ID: 5890033864 Enrollment ID: I20210804000960 |
Provider Name | Chantel L Schmidt |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1588233076 PECOS PAC ID: 9133524911 Enrollment ID: I20210817000958 |
Provider Name | Lori J Barnes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598820284 PECOS PAC ID: 5496989394 Enrollment ID: I20210823001653 |
Provider Name | Amaya Basta |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1457589699 PECOS PAC ID: 0042434524 Enrollment ID: I20220118001954 |
Provider Name | Dustin W Cheney |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1225492606 PECOS PAC ID: 9133523418 Enrollment ID: I20220324000946 |
Provider Name | Denise D Viola |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1639349996 PECOS PAC ID: 0648359463 Enrollment ID: I20220429000101 |
Provider Name | Anna M Lee |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1447782107 PECOS PAC ID: 6507132693 Enrollment ID: I20220729001260 |
Provider Name | Jackie Ijeoma Penn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972940260 PECOS PAC ID: 2163807173 Enrollment ID: I20220912002193 |
Provider Name | Joan E Lanier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568663540 PECOS PAC ID: 4082633904 Enrollment ID: I20220912002667 |
Provider Name | Jennifer Risse |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821582990 PECOS PAC ID: 4183964109 Enrollment ID: I20221102002353 |
Provider Name | Annabel L Bradford |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1215324694 PECOS PAC ID: 1355655572 Enrollment ID: I20231008000114 |
Provider Name | Anna Malena Waterland Dykstra |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1174278626 PECOS PAC ID: 2567858699 Enrollment ID: I20240313003587 |
Kyle Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Health Center Rd., Kyle, SD 57752 Phone: 605-455-8211 Fax: 605-455-1289 | |
Indian Health Service-kyle Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Health Center Road, Kyle, SD 57752 Phone: 605-455-8238 Fax: 605-455-2808 |